NCT05198674Active, not recruiting
SPYRAL AFFIRM Global Study of RDN With the Symplicity Spyral RDN System in Subjects With Uncontrolled HTN
The SPYRAL AFFIRM Global Clinical Study of Renal Denervation With the Symplicity Spyral Renal Denervation System in Subjects With Uncontrolled Hypertension (SPYRAL AFFIRM)
Source: ClinicalTrials.gov · Last updated 16 Oct 2026
Brief summary (registry, in English)
The purpose of this single-arm interventional study is to evaluate the long-term safety, efficacy, and durability of the Symplicity Spyral system in subjects treated with renal denervation. Additionally, long-term follow-up data will also be collected from eligible subjects previously treated in the SPYRAL PIVOTAL-SPYRAL HTN-OFF MED and SPYRAL HTN-ON MED studies.
- Status (registry)
- Active, not recruiting
- Study type
- Interventional
- Enrollment
- 1899 (actual)
- First submitted
- 5 Nov 2021
- Start date
- 20 Oct 2021
- Primary completion date
- 5 Mar 2026
- Lead sponsor
- Medtronic Vascular
- NCT number
- NCT05198674
What you commit to
- Study type: Interventional
- Participants enrolled: 1899
- From 20 Oct 2021 to the primary completion date, 5 Mar 2026
- 97 sites in 11 countries
- Visits and tests: ask the trial team, the registry does not list them
Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.
Who cannot take part
Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.
Prior treatment
- Individual has undergone prior renal denervation
Other illness
- Individual has a documented condition that would prohibit or interfere with ability to obtain an accurate blood pressure measurement
- Individual has primary pulmonary hypertension
Lab values
- Individual has an estimated glomerular filtration rate (eGFR) of \<45
- Individual has documented type 1 diabetes mellitus or poorly-controlled type 2 diabetes mellitus with glycosylated hemoglobin greater than 8.0%
Other
- Individual lacks appropriate renal artery anatomy
- Individual requires chronic oxygen support or mechanical ventilation other than nocturnal respiratory support for sleep apnea
- Individual has one or more episode(s) of orthostatic hypotension
- Individual is pregnant, nursing or planning to become pregnant
Who the study is looking for
- Individual is diagnosed with hypertension and has a baseline office systolic blood pressure ≥140 mmHg
- Individual has a baseline office diastolic blood pressure ≥ 90 mmHg
- Individual has an average systolic baseline home blood pressure ≥135 mmHg
Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers
Sites (97)
Sites in registry order. Save your city in your profile to sort them by distance.
| Site | City | Country | Site status |
|---|---|---|---|
| The Alfred Hospital Coordinator of this site? Confirm its status | Melbourne | Australia | Unknown status |
| Royal Perth Hospital (Dobney Hypertension Centre) Coordinator of this site? Confirm its status | Perth | Australia | Unknown status |
| Algemeen Stedelijk Ziekenhuis - R&D Hartziekten Coordinator of this site? Confirm its status | Aalst | Belgium | Unknown status |
| AZ Sint-Jan Brugge-Oostende AV Coordinator of this site? Confirm its status | Bruges | Belgium | Unknown status |
| Ziekenhuis Oost Limburg - Campus Sint-Jan Coordinator of this site? Confirm its status | Genk | Belgium | Unknown status |
| University Hospital Ghent Coordinator of this site? Confirm its status | Ghent | Belgium | Unknown status |
| CHC MontLégia Coordinator of this site? Confirm its status | Liège | Belgium | Unknown status |
| Uniklinik Erlangen Coordinator of this site? Confirm its status | Erlangen | Germany | Unknown status |
| Justus-Liebig Universität Gießen Coordinator of this site? Confirm its status | Giessen | Germany | Unknown status |
| Universitätsklinikum des Saarlandes Coordinator of this site? Confirm its status | Homburg | Germany | Unknown status |
| Herzzentrum Leipzig Coordinator of this site? Confirm its status | Leipzig | Germany | Unknown status |
| Sana Kliniken Lübeck GmbH Coordinator of this site? Confirm its status | Lübeck | Germany | Unknown status |
| Hôpital Saint André -Centre Hospitalier Universitaire de Bordeaux Coordinator of this site? Confirm its status | Bordeaux | France | Unknown status |
| Hopital Pitie-Salpetriere Coordinator of this site? Confirm its status | Paris | France | Unknown status |
| John Radcliffe Hospital Coordinator of this site? Confirm its status | Oxford | United Kingdom | Unknown status |
| Hippokration General Hospital of Athens Coordinator of this site? Confirm its status | Athens | Greece | Unknown status |
| Mater Misericordiae University Hospital Coordinator of this site? Confirm its status | Dublin | Ireland | Unknown status |
| Centre Hospitalier Princesse Grace Coordinator of this site? Confirm its status | Monaco | Monaco | Unknown status |
| Zuyderland Medisch Centrum - Heerlen Coordinator of this site? Confirm its status | Heerlen | Netherlands | Unknown status |
| Erasmus Universtiy Medical Center Coordinator of this site? Confirm its status | Rotterdam | Netherlands | Unknown status |
| Danderyd Sjukhus Coordinator of this site? Confirm its status | Stockholm | Sweden | Unknown status |
| AnMed Health Medical Center Coordinator of this site? Confirm its status | Anderson | United States | Unknown status |
| University of Michigan Coordinator of this site? Confirm its status | Ann Arbor | United States | Unknown status |
| Piedmont Heart Institute Coordinator of this site? Confirm its status | Atlanta | United States | Unknown status |
| Emory University Hospital Midtown Coordinator of this site? Confirm its status | Atlanta | United States | Unknown status |
| University of Colorado Anschutz Medical Campus Coordinator of this site? Confirm its status | Aurora | United States | Unknown status |
| The Johns Hopkins Hospital Coordinator of this site? Confirm its status | Baltimore | United States | Unknown status |
| University of Alabama at Birmingham (UAB) Hospital Coordinator of this site? Confirm its status | Birmingham | United States | Unknown status |
| Beth Israel Deaconess Medical Center Coordinator of this site? Confirm its status | Boston | United States | Unknown status |
| University of Vermont Medical Center Coordinator of this site? Confirm its status | Burlington | United States | Unknown status |
| University of North Carolina Coordinator of this site? Confirm its status | Chapel Hill | United States | Unknown status |
| UVA Medical Center Coordinator of this site? Confirm its status | Charlottesville | United States | Unknown status |
| University of Chicago Medicine Coordinator of this site? Confirm its status | Chicago | United States | Unknown status |
| The Lindner Center Coordinator of this site? Confirm its status | Cincinnati | United States | Unknown status |
| BayCare Health System Coordinator of this site? Confirm its status | Clearwater | United States | Unknown status |
| Clearwater Cardiovascular Consultants Coordinator of this site? Confirm its status | Clearwater | United States | Unknown status |
| Cleveland Clinic Coordinator of this site? Confirm its status | Cleveland | United States | Unknown status |
| University Hospitals Cleveland Medical Center* Coordinator of this site? Confirm its status | Cleveland | United States | Unknown status |
| Riverside Methodist Hospital Coordinator of this site? Confirm its status | Columbus | United States | Unknown status |
| Metropolitan Heart and Vascular Institute (MHVI) Coordinator of this site? Confirm its status | Coon Rapids | United States | Unknown status |
| Baylor Jack and Jane Hamilton Heart and Vascular Hospital Coordinator of this site? Confirm its status | Dallas | United States | Unknown status |
| Henry Ford Saint John Hospital Coordinator of this site? Confirm its status | Detroit | United States | Unknown status |
| Henry Ford Hospital Coordinator of this site? Confirm its status | Detroit | United States | Unknown status |
| Duke University Medical Center Coordinator of this site? Confirm its status | Durham | United States | Unknown status |
| DHR Health Institute for Research and Development Coordinator of this site? Confirm its status | Edinburg | United States | Unknown status |
| Providence Regional Medical Center Everett Coordinator of this site? Confirm its status | Everett | United States | Unknown status |
| Sanford Medical Center Coordinator of this site? Confirm its status | Fargo | United States | Unknown status |
| Spectrum Health Hospitals Coordinator of this site? Confirm its status | Grand Rapids | United States | Unknown status |
| UPMC Harrisburg Hospital Coordinator of this site? Confirm its status | Harrisburg | United States | Unknown status |
| Hartford Hospital Coordinator of this site? Confirm its status | Hartford | United States | Unknown status |
| Houston Methodist Coordinator of this site? Confirm its status | Houston | United States | Unknown status |
| St. Vincents Hospital Coordinator of this site? Confirm its status | Indianapolis | United States | Unknown status |
| Baptist Medical Center Coordinator of this site? Confirm its status | Jacksonville | United States | Unknown status |
| Scripps Memorial Hospital Coordinator of this site? Confirm its status | La Jolla | United States | Unknown status |
| Colorado Heart and Vascular PC Coordinator of this site? Confirm its status | Lakewood | United States | Unknown status |
| Dartmouth Hitchcock Coordinator of this site? Confirm its status | Lebanon | United States | Unknown status |
| Arkansas Cardiology Coordinator of this site? Confirm its status | Little Rock | United States | Unknown status |
| SJH Cardiology Associates Coordinator of this site? Confirm its status | Liverpool | United States | Unknown status |
| North Shore University Hospital Coordinator of this site? Confirm its status | Manhasset | United States | Unknown status |
| WellStar Research Institute Coordinator of this site? Confirm its status | Marietta | United States | Unknown status |
| Virtua Medical Group Coordinator of this site? Confirm its status | Marlton | United States | Unknown status |
| Loyola University Medical Center Coordinator of this site? Confirm its status | Maywood | United States | Unknown status |
| Banner Heart Hospital Coordinator of this site? Confirm its status | Mesa | United States | Unknown status |
| University of Miami Hosptial Coordinator of this site? Confirm its status | Miami | United States | Unknown status |
| Advocate Aurora Health-Aurora St. Luke's Medical Center (ASLMC) Coordinator of this site? Confirm its status | Milwaukee | United States | Unknown status |
| West Virginia University Coordinator of this site? Confirm its status | Morgantown | United States | Unknown status |
| Morristown Medical Center Coordinator of this site? Confirm its status | Morristown | United States | Unknown status |
| Intermountain Medical Center Coordinator of this site? Confirm its status | Murray | United States | Unknown status |
| Centennial Medical Center Coordinator of this site? Confirm its status | Nashville | United States | Unknown status |
| Vanderbilt University Medical Center Coordinator of this site? Confirm its status | Nashville | United States | Unknown status |
| Weill Cornell Medical Center Coordinator of this site? Confirm its status | New York | United States | Unknown status |
| Oklahoma Heart Hospital Coordinator of this site? Confirm its status | Oklahoma City | United States | Unknown status |
| University of Nebraska Medical Center Coordinator of this site? Confirm its status | Omaha | United States | Unknown status |
| AdventHealth Orlando Coordinator of this site? Confirm its status | Orlando | United States | Unknown status |
| Orlando Health Heart & Vascular Institute Coordinator of this site? Confirm its status | Orlando | United States | Unknown status |
| Heart Care Centers of Illinois Coordinator of this site? Confirm its status | Palos Park | United States | Unknown status |
| The Valley Hospital Coordinator of this site? Confirm its status | Paramus | United States | Unknown status |
| Hospital of the University of Pennsylvania Coordinator of this site? Confirm its status | Philadelphia | United States | Unknown status |
| Abrazo Arizona Heart Hospital/Biltmore Cardiology Coordinator of this site? Confirm its status | Phoenix | United States | Unknown status |
| Allegheny General Hospital Coordinator of this site? Confirm its status | Pittsburgh | United States | Unknown status |
| Baylor Scott & White - The Heart Hospital Baylor Plano Coordinator of this site? Confirm its status | Plano | United States | Unknown status |
| Saint Joseph Mercy Oakland Coordinator of this site? Confirm its status | Pontiac | United States | Unknown status |
| The Miriam Hospital Coordinator of this site? Confirm its status | Providence | United States | Unknown status |
| Saint Francis Hospital Coordinator of this site? Confirm its status | Roslyn | United States | Unknown status |
| BayCare Medical Group Coordinator of this site? Confirm its status | Safety Harbor | United States | Unknown status |
| CentraCare Heart & Vascular Center Coordinator of this site? Confirm its status | Saint Cloud | United States | Unknown status |
| Methodist Hospital Coordinator of this site? Confirm its status | San Antonio | United States | Unknown status |
| HonorHealth Research Institute Coordinator of this site? Confirm its status | Scottsdale | United States | Unknown status |
| Henry Ford Providence Southfield Hospital Coordinator of this site? Confirm its status | Southfield | United States | Unknown status |
| Stanford Hospital and Clinics Coordinator of this site? Confirm its status | Stanford | United States | Unknown status |
| Tallahassee Memorial Healthcare, Inc Coordinator of this site? Confirm its status | Tallahassee | United States | Unknown status |
| Montefiore Medical Center Coordinator of this site? Confirm its status | The Bronx | United States | Unknown status |
| Saint Joseph Medical Center (Towson MD) Coordinator of this site? Confirm its status | Towson | United States | Unknown status |
| North Mississippi Medical Center Coordinator of this site? Confirm its status | Tupelo | United States | Unknown status |
| The University of Texas at Tyler Coordinator of this site? Confirm its status | Tyler | United States | Unknown status |
| MedStar Washington Hospital Center Coordinator of this site? Confirm its status | Washington D.C. | United States | Unknown status |
| Mercy Medical Center Coordinator of this site? Confirm its status | West Des Moines | United States | Unknown status |
Related publications
- Effectiveness of Radiofrequency Renal Denervation in the United States: Six-Month Primary End Point Results From the SPYRAL AFFIRM Study.Circ Cardiovasc Interv · 2026 · PMID 42976254
This page is information, not medical advice. Discuss any trial with your doctor.